Tc-99m pentetate dtpa at CHRISTUS Santa Rosa Emergency Center - Alon

11503 NW Military Hwy, San Antonio, TX · Christushealth · · NPI 1194787218

Source: hospital's published price file ↗ · Published Jan 12, 2026 · Ingested Sep 16, 2026

$82.50

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$250.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.49 with Blue Cross Blue Shield Of Texas vs $151.05 with National Choicecare — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Blue Cross Blue Shield Of Texas Star Chip KM $17.49 ↓ -79%
Community First Star Kids KM $17.49 ↓ -79%
First Care KM $17.49 ↓ -79%
Community First Chip KM $17.49 ↓ -79%
Superior Star Kids KM $17.49 ↓ -79%
Superior Star KM $17.49 ↓ -79%
Superior Foster Care KM $17.49 ↓ -79%
El Paso First KM $17.49 ↓ -79%
Aetna Chip KM $17.49 ↓ -79%
Superior Star Plus KM $17.49 ↓ -79%
Aetna Star KM $17.49 ↓ -79%
Driscoll Children's Health Plan Star Kids KM $17.49 ↓ -79%
Superior Chip KM $17.49 ↓ -79%
Community First Star KM $17.49 ↓ -79%
Driscoll Children's Health Plan Star KM $17.49 ↓ -79%
Driscoll Children's Health Plan Chip KM $17.49 ↓ -79%
Amerigroup Star KM $19.08 ↓ -77%
Amerigroup Chip KM $19.08 ↓ -77%
Amerigroup Star Plus KM $19.08 ↓ -77%
Amerigroup Star Kids KM $19.08 ↓ -77%
Community First Med Adv MM $19.08 ↓ -77%
Texas Childrens Health Plan Chip KM $19.08 ↓ -77%
Texas Childrens Health Plan Star Plus KM $19.08 ↓ -77%
Christus Health Med Adv MM $23.85 ↓ -71%
United Healthcare All Payer $27.82 ↓ -66%
United Healthcare Star KM $28.62 ↓ -65%
United Healthcare Star Plus KM $28.62 ↓ -65%
United Healthcare Chip KM $28.62 ↓ -65%
Aetna MM $30.83 ↓ -63%
Christus Health HIX $33.39 ↓ -60%
Molina Star Plus KM $47.70 ↓ -42%
Molina Chip KM $47.70 ↓ -42%
Cigna New Business $58.83 ↓ -29%
Amerigroup MM $63.60 ↓ -23%
Imperial Health Plan MM $63.60 ↓ -23%
Healthcare Highways PPO $71.55 ↓ -13%
Humana Choicecare $72.19 ↓ -12%
Devoted Health Plan MM $79.50 ↓ -4%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $80.21 ↓ -3%
Community First Health Plan HMO $81.09 ↓ -2%
Cigna PPO $87.45 ↑ +6%
Christian Brothers Services PPO $87.45 ↑ +6%
Naphcare Inc. RRMB $95.40 ↑ +16%
Multiplan PPO $95.40 ↑ +16%
Phcs PPO $95.40 ↑ +16%
Blue Cross Blue Shield of Texas HMO $97.69 ↑ +18%
Blue Cross Blue Shield of Texas HEB $98.94 ↑ +20%
First Health PPO $103.35 ↑ +25%
Healthsmart Accel PPO $103.35 ↑ +25%
Blue Cross Blue Shield of Texas PPO $109.86 ↑ +33%
Five Point Credit Union PPO $111.30 ↑ +35%
Blue Cross Blue Shield of Texas Traditional $115.79 ↑ +40%
Medicus Internatiaonal PPO $119.25 ↑ +45%
Provider Select PPO $127.20 ↑ +54%
Health Management Network PPO $127.20 ↑ +54%
Beech Street PPO $127.20 ↑ +54%
HealthSmart PPO $127.20 ↑ +54%
Triwest VA MM $135.15 ↑ +64%
National Choicecare PPO $151.05 ↑ +83%

Visitor-reported prices

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Tc-99m pentetate dtpa at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $893.78 $47.39 – $366.22
HCA HOUSTON MEDICAL CENTER Houston $1,338.99 $47.39 – $366.22
HCA HOUSTON CONROE CONROE $2,026.43 $47.39 – $366.22
HCA HOUSTON KINGWOOD HUMBLE $1,557.69 $47.39 – $366.22
HCA HOUSTON NORTHWEST SPRING $1,617.17 $47.39 – $366.22
Baylor St Luke's Medical Center Houston $426.65 $28.09 – $1,219.00
St. Joseph Health Madison Hospital Madisonville $54.95 $25.23 – $282.60
St. Luke's Health Memorial Lufkin Lufkin $112.80 $22.71 – $676.80

All Texas hospitals for this procedure →